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Pharmacy inspections

Inspection reports and learning from inspections

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Ritecare Pharmacy (9010595) - Improvement action plan

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.1

The risks involved with the online prescribing service are not adequately managed. The pharmacy cannot provide assurance that prescribing is always undertaken in line with good practice guidance and UK national guidelines (including GMC guidance).

03/12/2019
1.2

The pharmacy cannot provide assurance that it effectively monitors and reviews the online prescribing of high-risk medicines to prevent misuse or abuse.

03/12/2019
1.5

The pharmacy cannot demonstrate that its indemnity arrangements provide cover for dispensing prescriptions issued by the online prescribing service. And it cannot demonstrate that the online prescriber it is associated with has adequate professional indemnity arrangements in place.

The Insurance Provider for the pharmacy has confirmed there is cover for the dispensing activity relating to the online prescribing service . The pharmacy will no longer be dispensing any prescriptions for the online prescribing service in question as it is unclear whether the prescriber has adequate professional indemnity arrangements in place.

03/12/2019 04/12/2019
1.8

The pharmacy is failing to safeguard vulnerable people because it does not have adequate controls in place to ensure supplies of opiates and sleeping tablets are appropriate or that the medicines are not being abused.

03/12/2019
1.6

There are no clear records available relating to clinical interventions, monitoring of high-risk medicines or to justify prescribing decisions when people have not provided consent for their GP to be contacted.

All clinical interventions and notes on monitoring of high-risk medicines will be recorded on the PMR system. The dispensing of private prescriptions where the patients’ GP has not been contacted has now stopped.

03/12/2019 04/12/2019
2.6

The superintendent takes sole responsibility for dispensing prescriptions from the online prescribing service. And the high profit margins of this service disincentivise any refusal to supply, which may prejudice professional judgement.

03/12/2019
3.1

The pharmacy's systems do not ensure that people using the online prescribing service always receive the most appropriate medicine for effective treatment. Because the website is arranged so that a person can choose a medicine and its quantity before there has been an appropriate consultation with a prescriber.

The pharmacy is no longer dispensing any prescriptions for the online prescribing service.

03/12/2019 04/12/2019
4.2

The pharmacy supplies large quantities of opioids and other medicines liable to abuse. But it is not able to demonstrate that effective safeguards are in place to make sure they are clinically appropriate.

The pharmacy cannot provide assurance that the online-prescriber proactively shares all relevant information about prescriptions with other health professionals involved in the care of the person (for example, their GP). Or; that the prescriber contacts the person's GP in advance of issuing a prescription to seek confirmation that the prescription is appropriate for the patient and that appropriate monitoring is in place. Or; that the prescriber makes a clear record setting out their justification for prescribing in circumstances where they have decided to issue a prescription when the person does not have a GP or does not consent to share information.

03/12/2019
4.3

The pharmacy does not have a robust date checking procedure and medicines which have passed their expiry date are not always separated from current stock.

The pharmacy has now implemented a date checking schedule . The dispensers individual bays will be date checked by the dispenser and spot checked by the RP on a monthly basis. The full pharmacy stock will receive a quarterly date check. All date checks will be documented and signed off by the RP.
Also staff have been briefed on the importance of stock rotation.

03/12/2019 04/12/2019